eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association
Review

Research progress and enlightenment of obstetric high dependency care

  • WANG Jinyan ,
  • LI Xin
Expand

Received date: 2024-05-10

  Online published: 2024-09-10

Abstract

In recent years,the proportion of pregnant women with advanced maternal age and high-risk has increased,and the incidence of pathological pregnancy is increasing. The obstetric high dependency care model,which can provide strict monitoring and high level of care for critically ill pregnant women,has made some progress in foreign countries. This paper summarized the background and concept of the obstetric high dependency care,the setting of obstetric high dependency unit and the allocation of staff,the clinical practice and effect evaluation. Combining the national conditions of our country,this paper puts forward the prospect that obstetric high dependence care can be further developed to improve the level of care for critically ill pregnant women in China.

Cite this article

WANG Jinyan , LI Xin . Research progress and enlightenment of obstetric high dependency care[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024 , 5(9) : 856 -859 . DOI: 10.3761/j.issn.2096-7446.2024.09.017

References

[1] World Health Organization. Maternal mortality[EB/OL].(2024-04-26)[2024-07-26]. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality.
[2] Ryan M,Hamilton V,Bowen M,et al.The role of a high-dependency unit in a regional obstetric hospital[J]. Anaesthe-sia,2000,55(12):1155-1158.
[3] Endacott R,Wilkinson R,Harrison L,et al.Nursing implica-tions of the department of health guidelines on admission to and discharge from intensive care and high dependency units. A joint statement from the British Association of Critical Care Nurses and The Royal College of Nursing Critical Care Forum[J]. Intensive Crit Care Nurs,1996,12(2):122.
[4] Boots R,Lipman J.High dependency units:issues to consider in their planning[J]. Anaesth Intensive Care,2002,30(3):348-354.
[5] Van Parys AS,Verstraelen H,Roelens K,et al.Maternal Inten-sive Care‘:a systematic literature review[J]. Facts Views Vis Obgyn,2010,2(3):161-167.
[6] Benhamou D,Fuchs F,Mercier FJ.Obstetric critical care patients in France:admission shift from general intensive care units (ICU) to general high-dependency units(HDU) and now to obstetric high-dependency units(OHDU)?[J]. Anaesth Crit Care Pain Med,2019,38(4):331-333.
[7] Kingwell EL,Butt J,Leslie G.Maternity high-dependency care and the Australian midwife:a review of the literature[J]. Women Birth,2017,30(2):e73-e77.
[8] James A,Cooper S,Stenhouse E,et al.What factors influence midwives to provide obstetric high dependency care on the delivery suite or request care be escalated away from the obstetric unit? Findings of a focus group study[J]. BMC Preg-nancy Childbirth,2019,19(1):331.
[9] Marotta C,di Gennaro F,Pisani L,et al. Cost-utility of inter-mediate obstetric critical care in a resource-limited setting:a value-based analysis[J]. Ann Glob Health,2020,86(1):82.
[10] Kielty J,Bowe R,O‘Donoghue A,et al. The evolution of the midwife in the obstetric high dependency unit[J]. Ir J Med Sci,2023,192(3):1335-1338.
[11] Eadie IJ,Sheridan NF.Midwives‘ experiences of working in an obstetric high dependency unit:a qualitative study[J]. Mid-wifery,2017,47:1-7.
[12] Saravanakumar K,Davies L,Lewis M,et al.High dependency care in an obstetric setting in the UK[J]. Anaesthesia,2008, 63(10):1081-1086.
[13] Gu N,Zheng YN,Dai YM.Severe maternal morbidity:admis-sion shift from intensive care unit to obstetric high-depen-dency unit[J]. BMC Pregnancy Childbirth,2022,22(1):140.
[14] Murki A,Dhope S,Kamineni V.Feto-maternal outcomes in obstetric patients with near miss morbidity:an audit of obstetric high dependency unit[J]. J Matern Fetal Neonatal Med,2017,30(5):585-587.
[15] Sultan P,Arulkumaran N,Rhodes A.Provision of critical care services for the obstetric population[J]. Best Pract Res Clin Obstet Gynaecol,2013,27(6):803-809.
[16] Beza Z,Tadesse R,Teshome H,et al.Admission indications,initial diagnoses,interventions,and patient outcomes within the sole obstetric high-dependency unit in Ethiopia[J]. BMC Womens Health,2024,24(1):329.
[17] Umar A,Ameh CA,Muriithi F,et al.Early warning systems in obstetrics:a systematic literature review[J]. PLoS One,2019,14(5):e0217864.
[18] Xu YH,Zhu S,Song H,et al.A new modified obstetric early warning score for prognostication of severe maternal morbidity[J]. BMC Pregnancy Childbirth,2022,22(1):901.
[19] Wheatley E,Farkas A,Watson D.Obstetric admissions to an intensive therapy unit[J]. Int J Obstet Anesth,1996,5(4):221-224.
[20] Hauck Y,Lewis L,Overing H,et al.Research Article Women‘s experience of maternity high-dependency care following a complicated birth:a cross-sectional study[J]. Intensive Crit Care Nurs,2019,53:54-59.
[21] Liu J,Song L,Qiu J,et al.Reducing maternal mortality in China in the era of the two-child policy[J]. BMJ Glob Health,2020,5(2):e002157.
[22] 王家贤,郭军,刘宁. 基于胜任力冰山模型构建高依赖病房专科护士岗位胜任力评价指标体系[J]. 遵义医科大学学报,2024,47(6):615-624.
Wang JX,Guo J,Liu N.Construction of post competency evaluation index system for specialized nurses in highly de-pendent wards based on competency iceberg model[J]. J Zunyi Med Univ,2024,47(6):615-624.
[23] Chen SH,Chen SC,Lai YP,et al.The objective structured clinical examination as an assessment strategy for clinical competence in novice nursing practitioners in China Taiwan[J]. BMC Nurs,2021,20(1):91.
Outlines

/